Brant, Jennifer L

Brant, Jennifer L is an sole proprietor health care provider with primary practice located at 1400 E Boulder St Ste 2508 , Colorado Springs CO 80909-5533. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Brant, Jennifer L can be contacted via phone (719) 365-6999.

Contact Information

Primary practice address
1400 E Boulder St Ste 2508 Colorado Springs CO 80909-5533
Phone: (719) 365-6999
Fax: (719) 365-2837
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 140366 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APN.0004561-CRNA Colorado

Profile Details

NPI number 1679544258
LBN Legal business name Brant, Jennifer L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2006
Last updated May 30th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679544258 NPPES
Colorado MEDICAID 54270855

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